Urinary System Flashcards

1
Q

What is the location of the kidneys?

A
  • one on each side
  • posterior to abdominal wall
  • high up under diaphragm
  • retroperitoneal
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2
Q

What encapsulates the kidneys?

A

layers of fascia and fairly firm renal fat

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3
Q

What is the cortex of the kidney?

A

outer portion of the kidney

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4
Q

What is the medulla of the kidney?

A

the inner part of the kidney - split into renal pyramids

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5
Q

What transports urine to the bladder?

A

ureter

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6
Q

What is the functional unit of the kidney?

A

nephron - initial filtrate and final urine produced

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7
Q

What are the 5 parts of the nephron?

A
  • glomerulus (renal corpuscle)
  • proximal convoluted tubule (PCT)
  • loop of Henlé (descending and ascending)
  • distal convoluted tubule (DCT)
  • collecting duct
    look up image
    (glomerulus - blood filtration part
    renal tubule - filtrate recovery part)
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8
Q

What are the two types of nephron?

A
  • juxtamedullary

- superficial

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9
Q

What are the features/function of the juxtamedullary nephrons?

A
  • concentrate urine
  • glomeruli in inner cortical regions - long nephron loops
  • deeper in medulla of kidney
  • associated with vascular structure - vasa recta
  • receive about 10% of renal supply
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10
Q

What are the features/function of the superficial nephrons?

A
  • reabsorb large % of fluid that filters from vasculature
  • glomeruli in outer cortical regions - short nephron loops
  • sit more superficially
  • receive about 90% of renal supply
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11
Q

What is the location of the ureter in females?

A
  • passes posterior to ovary
  • passes lateral to cervix and vagina
    (into bladder)
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12
Q

What is the location the urethra in males?

A
  • passes through prostate and into panic (from bladder)
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13
Q

What are the walls of the ureters and bladder made of?

A
  • muscular walls - smooth and involuntary
  • transitional endothelium to allow distension (rounded and piled on top of each other - flatten and spread out to cope with distension)
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14
Q

What controls the bladder?

A

Detrusor muscle
- fills by relaxation of muscular wall
- empty by muscular contraction - aided by raised inna-abdominal pressure
- muscle is smooth and involuntary
but,
- external sphincter around urethra is stated and under voluntary control

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15
Q

What are the functions of the kidney?

A
  • excretory
  • cleanses blood of metabolic end products, toxins, water, ions - that may be surplus - maintains “homeostasis”
  • also an endocrine and homeostatic organ - controls blood pressure, tissue osmolality, electrolyte levels
  • monitor and affect acid/base balance
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16
Q

How does blood filtration occur in the kidney?

A

blood is forced under pressure through a glomerular filtration barrier to separate plasma from cells and proteins

17
Q

How do the kidneys maintain blood/body homeostasis?

A

via production of urine - ie. removal of excess water, electrolytes, toxic metabolic waste (urea, creatinine) from circulating blood

18
Q

How do the kidneys monitor and affectacid/base balance?

A
  • excrete hydrogen ions during acidosis or

- bicarbonate ions during alkalosis

19
Q

Why do the kidneys secrete renin?

A
  • indirectly raises blood pressure
20
Q

Why do kidneys secrete erythropoietin?

A
  • accelerates red blood cell production
21
Q

What conducts urine from the kidneys to the bladder?

22
Q

What is used for the passage of urine out of the body?

23
Q

What is reabsorption?

A

the process that moves solutes and water out of the filtrate and back into your bloodstream
(reabsorbed - because they were already absorbed in the digestive tract after a meal)

24
Q

What are the steps of reabsorption?

A
  • passive or active movement of water and dissolved substances from the fluid inside the tubule through the tubule wall into the space outside
  • then, water and these substances move through the capillary walls back into the bloodstream either by passive or active transport
  • (channels and transporters aid the passage)
25
What are the walls of the nephron made of?
- cuboidal epithelial cells - single layer - covered in microvilli facing lumen - to increase surface area - these cells are densely packed with mitochondria to aid in active transport - junctions between cells are leaky to maximise free flow of water and dissolved solutes
26
What returns reabsorbed fluid to the vasculature?
the peritubular network
27
What is urination known as?
micturition
28
Describe micturition?
- no modification of urine on route to bladder or in bladder | - urine is produced constantly and stored in bladder until micturition
29
What is the bladder's capacity?
about 500ml
30
What prevents urinary reflux into the ureters?
- valve
31
What prevents urinary outflow via the urethra?
inner and outer sphincters - inner sphincter and bladder contraction controlled by spinal reflexes and CNS - outer sphincter under voluntary control
32
How does bladder emptying work?
- bladder filling stretches muscular wall - this initiates a spinal micturition reflex - the reflex causes parasympathetic motor efferents to stimulate bladder contraction - emptying is prevented by the CNS until the outer sphincter is relaxed voluntarily
33
What channels formed urine into ureters?
renal calyces and renal sinus